Guseva N K, Sokolov V A
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2010 Nov-Dec(6):24-7.
The dynamics of disability level in the Nijegorodskaya oblast was analyzed. The decrease of number of patients admitted as disabled for the first time and its causes was revealed. The drastic decreasing of number of patients examined in 2007 brings to consider the existence of expertise barriers in outpatient and polyclinic institutions which make the expert care less accessible. The share of persons accepted as the disabled in the total number of examined decreases too. The adequate rehabilitation services net in the oblast factually don't exist. Artificial decreasing of disability rate always leads to the decrease of social protection of patients and to the increase of mortality rate in population.
分析了下诺夫哥罗德州残疾水平的动态变化。首次被认定为残疾的患者数量减少及其原因被揭示。2007年接受检查的患者数量急剧下降，这让人认为门诊和综合诊所机构存在专业鉴定障碍，使得患者难以获得专家护理。被认定为残疾的人员在接受检查的总人数中的占比也在下降。事实上，该州没有足够的康复服务网络。人为降低残疾率总是会导致患者社会保护的减少和人口死亡率的上升。
